Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study
Background: The COVID-19 pandemic has changed the organisational and management strategies of healthcareinstitutions such as primary care centres. Organisational culture as well as leadership style are key issues for the suc-cess of these institutions. Due to the multidimensional nature of identity...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Universidad de Castilla-La Mancha |
| Repositorio: | RUIdeRA. Repositorio Institucional de la UCLM |
| OAI Identifier: | oai:ruidera.uclm.es:10578/46206 |
| Acceso en línea: | https://doi.org/10.1186/s12913-022-07855-0 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-07855-0 https://hdl.handle.net/10578/46206 |
| Access Level: | acceso abierto |
| Palabra clave: | COVID-19 Management Nursing Pandemic Primary healthcare Qualitative study |
| Sumario: | Background: The COVID-19 pandemic has changed the organisational and management strategies of healthcareinstitutions such as primary care centres. Organisational culture as well as leadership style are key issues for the suc-cess of these institutions. Due to the multidimensional nature of identity processes, it is necessary to explore thechanges experienced by health professionals from these perspectives. This study explores health professionals’ organi-sational and management strategies in primary care settings during the COVID-19 pandemic.Design: Qualitative, exploratory study based on the analysis of participants’ accounts within a hermeneutic phenom-enologicaly approach.Methods: Research was conducted in primary care settings in two neighbouring Spanish healthcare regions. Thesample included participants with different demographics (gender, age), professional roles (practice managers,general practitioners, paediatricians), employment status (permanent, temporary, zero-hours), and years of experience(under or over ten years’ experience). Data were collected between July and December 2020 through focus groupsand in-depth, semi-structured individual interviews.Results: A total of 53 primary care workers participated in the study, of which 38 were individually interviewed and15 participated in three focus groups. Of these, 78.4% were healthcare professionals, 49% were female nurses, and70.5% had more than 10 years of work experience in primary care. Two main themes emerged: “liquid” healthcare and“the best healthcare system in the world”. During the first wave of the COVID-19 pandemic, new, more fluid organi-sational and management models were implemented in primary care settings, which have remained in place since.Primary care workers’ perceived a lack of appreciation and inclusion in decision-making that risked their alienation anddisengagement.Conclusion: Primary care workers’ professional identity became gradually blurred due to shifting perceptions of theirprofessional roles in a context of increasing improvisation and flexible working practices. This affected their profes-sional performance. |
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